The lumbar high-intensity zone: 20 years on

被引:16
作者
Khan, I. [1 ]
Hargunani, R. [1 ]
Saifuddin, A. [1 ]
机构
[1] Royal Natl Orthopaed Hosp, Dept Radiol, Stanmore HA7 4LP, Middx, England
关键词
LOW-BACK-PAIN; POINT-OF-VIEW; DISCOGENIC PAIN; ASYMPTOMATIC SUBJECTS; INTERVERTEBRAL DISCS; ANULUS FIBROSUS; PROVOCATIVE DISCOGRAPHY; SELECT PATIENTS; MR; SPINE;
D O I
10.1016/j.crad.2013.12.012
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The high intensity zone (HIZ) was first described by Aprill and Bogduk on lumbar spine magnetic resonance imaging (MRI) studies in 1992. Correlation with lumbar computed tomography (CT) discography showed that the HIZ represents a deep radial tear of the annulus fibrosus, which may be a cause of chronic low back pain. Initial studies comparing the finding of a HIZ on MRI with discography suggested that it may be a highly specific marker of a painful lumbar disc, but later investigators demonstrated that it is also present in asymptomatic individuals. The purpose of this article is to review the literature regarding the lumbar HIZ 20 years after its initial description. (C) 2014 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:551 / 558
页数:8
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